| NPI | 1033587241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4343) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R3797) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2016-12-09 |